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Zorluk: OrtaStandard and Transmission-Based Precautions

A client arrives at a busy outpatient community clinic reporting a four-week history of a blood-tinged productive cough, profound fatigue, and severe night sweats. The healthcare provider suspects active pulmonary tuberculosis. Which initial infection control action is the priority for the practical nurse to implement?

  1. Provide a standard medical mask for the client to wear and immediately place them in a separate room with the door closed.Cevap
  2. B
    Put on a fit-tested N95 respirator and complete the intake assessment in the open triage bay.
  3. C
    Place the client in a private examination room and ensure all staff wear standard medical masks when providing care.
  4. D
    Apply a disposable gown and gloves to initiate contact precautions and dedicate a stethoscope to the client.

Cevap

Provide a standard medical mask for the client to wear and immediately place them in a separate room with the door closed.
For a client with suspected active pulmonary tuberculosis (an airborne disease), the immediate priority in an outpatient setting is source control. Placing a standard medical mask on the client contains their respiratory secretions, and rapidly moving them to a separate room with a closed door prevents airborne droplet nuclei from exposing other vulnerable individuals in the shared clinic environment.

Adım Adım Çözüm

1
Identify the likely mode of transmission based on the suspected diagnosis.
Tuberculosis is caused by Mycobacterium tuberculosis and is transmitted via airborne droplet nuclei.
Understanding the transmission route is essential for selecting the correct infection control precautions.
2
Determine the immediate safety priority in an outpatient clinic setting.
The primary goal is to protect other individuals in the waiting area from exposure to the infectious airborne particles.
Airborne pathogens can remain suspended in the air and travel widely in shared, open spaces like a triage bay.
3
Select the appropriate initial nursing intervention to achieve source control.
Providing the client with a standard medical mask and moving them to a closed room prevents the spread of the pathogen.
The standard mask traps respiratory secretions at the source, and the closed room isolates the airborne particles away from the general clinic population.

Anahtar Kavram

Airborne Precautions and Source Control
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